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HoMedics arrives in Spain

With over twenty years of experience, the American firm HoMedics arrives in Spain offering a range of high-tech massage and design that allow you to relax and pamper your body in an easy and accessible. Among its flagship products include massagers and spa, which can eliminate the stress of daily life regardless of where they are and the time available, with a different product for every situation or body part: portable, handheld, adjustable chairs , shiatsu and mini pads for the foot spa.

www.homedics.com

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Most global consumers are satisfied with their health care coverage

Most consumers around the world (60%) reported they are very or somewhat satisfied with their health care coverage, according to new research with global online jurors Survey Sampling International. Germany (77%) and UK (74%) - both with some form of universal health care coverage - show the highest levels of satisfaction. In contrast, Japan and China have the lowest levels of satisfaction, with only 35% of Japanese respondents and 39% of Chinese respondents said they are very or somewhat satisfied with their coverage. The U.S. results were more polarized. While 61% of Americans indicated they were very or somewhat satisfied with their coverage, 18%-more than any other country studied - fall at the opposite end of the spectrum, exclaiming that they are very or somewhat dissatisfied.
Although the majority of U.S. respondents say they are happy with their health coverage, the majority - 61% - also believe that the coverage is somewhat or very unaffordable. Only China shows a higher percentage of consumers - 87% - who say that health care coverage is not affordable. Germany and France have the lowest number of consumers - 39% in each country - explaining who can not afford health coverage.
"Worldwide, the cost health coverage is a major concern, with 52% of global consumers find the price unattainable, "said Chris DeAngelis, Vice President of SSI, strategic initiatives." Even in Germany, which has the highest levels of overall satisfaction, almost two-fifths of consumers are struggling with the costs of coverage. The problem is getting worse, as the SSI research also shows the majority of consumers worldwide believe their health care costs continue to rise and only 4% report having experienced some decline.
SSI results are based on a study of more than 4,000 online adults in their juries. The countries include the United States, United Kingdom, Germany, France, Japan, Australia, China and Singapore. SSI offers comprehensive global survey research support through SSI Dynamix (TM), its dynamic sampling platform that links its online panel, and online communities, partners, affiliates, social media and more.
Healthcare costs continue to rise, with France showing the biggest increase and governments and pharmaceutical companies are regarded as responsible
In all countries surveyed, except Japan, the majority of respondents reported seeing healthcare costs increase from last year. France shows the most dramatic increase, with 88% of consumers saying that health care costs have risen over the past 12 months. A significant portion of Singaporeans (70%) also say they have experienced increased health care costs, and 65% of Germans, 62% of Chinese, 61% of Australians and 55% of Americans.
In all countries except Germany, respondents view government as the main culprit in rising health costs. The percentage of consumers who blame their government is particularly high in Japan (50%), Australia (47%), France (46%) and China (43%). In the United States and Singapore third of consumers say their governments.
In Germany, consumers name pharmaceutical companies as the most blame for the rising costs, with 46% of respondents indicate that drug manufacturers are responsible for the increase in healthcare costs. United States (22%), France (22%) and Singapore (21%) also have a significant number of respondents blaming pharmaceutical companies.

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Andalucía ambulances gives a system of real-time GPS tracking that reduce waiting

The Ministry of Health, through the Public Health Emergencies (EPES), has acquired an immediate tracking device mobile UVIS the 66 operating in the community and almost 90% of ambulances in the network of urgent transport of Andalusia. This is a fleet management system accessible from all eight rooms of provincial coordination for the location and the exact location of all mobile resources, in order to be able to reduce response times to emergencies and to facilitate the work developed by professionals in these situations.
This new equipment allows operators to inform users of the estimated time of arrival of the ambulance to the place of care, automatically records the time at which the vehicle arrives at its destination, and receives the patient's clinical information that is attended to home or 'in situ'. Emergency personnel traveling on them can also write and print the patient's history that is transferred to the emergency door to hand it to happen to professional care in the hospital.
For this, EPES has been incorporated into all of your vehicles GPS, a printer, a router and two intelligent terminals with an investment of 545,864 euros through the European Development Fund (ERDF). This material is achieved by a side focal points immediately locate the nearest available resource to the location of the patient. Thus, by developing a computer tool professionals responsible for managing resources can graphically view a street map or the exact location of vehicles, choose the most suitable to the health problem presented by the city, and transfer the notice to emergency equipment with data service simultaneously.

-operation of the system
The fleet management system is designed so that when you receive a call from the coordinating center, the operator can collect all data in the request for assistance logging into the system itself and Sieper Call Center alerts the nearest emergency team, who sends the patient information and location the computer installed at the UVI.
professionals can view the data on the touch screen to the dashboard of the vehicle after accepting the service, or to require the system to read the data to facilitate the work of handling and analysis of the situation as he arrived at the scene required. Similarly, the device indicates the route to follow verbal and displays the street map with the route from the point where it is to the destination. At the same time, the system facilitates the coordination room knowledge of the status and position in the map of the clinical staff at all times.
also touch an icon may request additional information on the patient or request support from the coordinating center, either from another health resource, fire or state security forces. Once
care professionals codes filled in clinical trial and settlement assistance. All these data are sent and recorded in the database automatically clearing.

-Operative in all vehicles by the end of the year
Currently, this system is operational in all the mobile UVIS 061 and helicopters, as well as in 90% of ambulance transport network urgent. The remaining 10% gradually incorporate the devices.
In particular, distribution by province is as follows: all vehicles within the network of emergency assistance in Almeria (49), Cordova (48), Granada (49), Huelva (50), Jaen (57) and Sevilla (79) are already their clearing houses managed by the new system. In the other provinces have already been implanted in more than half of the 43 vehicles operating in Cadiz, Malaga and 48. In any case, the Public Health Emergency expected that the fleet management system is operational in all ambulances by the end of the year.
On the other hand, are also providing the technology of 15 ambulances in the network transport of critically ill patients. For the moment, are active in Jaen, Granada, Cordoba and Cadiz.
The fleet management system is designed so that when you receive a call from the coordinating center, the operator can collect all data in the request for assistance logging into the system Sieper own Call Center and alerts the emergency team more next, who sends the patient information and its location to a computer installed at the UVI. Professionals can view the data on the touch screen to the dashboard of the vehicle after accepting the service, or to require the system that reads the data to facilitate the work conduction and analysis of the situation as he arrived at the scene required. Similarly, the device indicates the route to follow verbal and displays the street map with the route from the point where it is to the destination.
At the same time, the system facilitates the coordination room knowledge of the status and position in the map of the clinical staff at all times.

-intelligent terminals
For its part, the terminals that the Public Health Emergency has been installed in the vehicles can accelerate and facilitate the writing of the history of the patient during transport to hospital or place where the urgent care needs .
So these smart devices, consisting of an onboard computer and a navigation screen located on the dashboard of the vehicle, the vehicles are connected to a printer and let you receive and automatic delivery of clinical data and address user after a warning.
The management of this patient information has been designed to be compatible with the Electronic Medical Records of Health. Moreover, at a later stage to full implementation of the system, Health plans to work on the integration of both systems for professionals who attend medical emergencies can save data in the system directory assistance Diraya that supports the electronic patient history, that in this way all professionals Andalusian Health System (SAS) can access this information and the user has a unique history that collects data from all the assistance that has been paid.

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Emory Explores New Proton Therapy Facility To Offer Advanced Care To Patients

Emory Healthcare is a key player in Plans to bring the World's Most Advanced Radiation Treatment for Patients cancer to Georgia. In furtherance of That role, Emory Healthcare has signed a letter of intent with Advanced Particle Therapy, LLC, of \u200b\u200bMinden, Nevada, opening the door to a final Exploratory phase for development of The Proton Treatment Center Georgia - Georgia's first proton therapy facility. For Certain cancers, proton therapy offers a more precise and aggressive approach to destroying cancerous and non-cancerous tumors, as compared to conventional X-ray radiation. Proton therapy involves the use of a controlled beam of protons to target tumors with precision unavailable in other radiation therapies.

According to The National Association for Proton Therapy, the precise delivery of proton energy may limit damage to healthy surrounding tissue, potentially resulting in lower side effects to the patient. This precision also allows for a more effective dose of radiation to be used. Proton therapy is frequently used in the care of children diagnosed with cancer, as well as in adults who have small, well-defined tumors in organs such as the prostate, brain, head, neck, bladder, lungs, or the spine. According to the National Cancer Institute, research continues into its efficacy in additional cancers. The closest proton therapy facility to Georgia is the University of Florida Proton Therapy Institute in Jacksonville. Since the facility opened in 2006, approximately 1,500 patients have been treated there. Currently there are only nine proton therapy centers in the United States, including centers at Massachusetts General Hospital, MD Anderson Cancer Center in Houston and the University of Pennsylvania.

"Emory will play a leading role in bringing this highly advanced cancer therapy to Georgia," says Walter J. Curran, Jr., MD, executive director of the Winship Cancer Institute and chair of Emory's Department of Radiation Oncology. "This is an exciting development in our ability to offer patients the widest possible array of treatment options. In addition, we will work to expand its utility and access for patients through collaborative research projects with Georgia Tech and other institutions. Winship physicians will also provide direction to their international colleagues in how best to study and implement this technology in the care of cancer patients." "Proton therapy is helping to revolutionize cancer treatment," says John Fox, president and CEO of Emory Healthcare. "Emory's leadership in this groundbreaking therapy brings new treatment options to our patients and to patients throughout Georgia and the southeast."

"This is an exciting development in Georgia's comprehensive array of cancer services and research," says Bill Todd, president and CEO of the Georgia Cancer Coalition. "Winship Cancer Institute's National Cancer Institute designation brought Georgia into the ranks of national leaders in cancer treatment and research. This facility will position our state into an international leadership role in our ability to offer patients the widest possible array of treatment options." The proton therapy center will have five treatment rooms and dedicated research capabilities. The FDA-approved proton system will be provided by Varian Medical Systems, a world-wide provider of proton therapy and radiation oncology equipment. Under the letter of intent, Emory Healthcare faculty and staff will provide physician services, medical direction, and other administrative services to the center. Advanced Particle Therapy, through a Special Purpose Company, Georgia Proton Treatment Center, LLC, (GPTC) will design, build, equip and own the center. The facility, which will be funded by GPTC, will be approximately 100,000 square feet and is expected to cost approximately $200 million. Site selection for the facility is underway Once operational, the center will be staffed by approximately 110 proton therapy-trained professionals including radiation oncologists, medical physicists, radiation therapists, medical support and administrative staff.

The center will treat approximately 1,900 patients annually. "With only nine proton treatment centers operating in the United States, we are honored to partner with Emory Healthcare to provide a state-of-the-art facility that will treat patients from the Atlanta metropolitan region and beyond," said Jeff Bordok, president and CEO of Advanced Particle Therapy, LLC. Advanced Particle Therapy, LLC, has taken on the same role in development of a similar center in San Diego, teaming with Scripps Health and Scripps Clinic Medical Group and in Baltimore with the University of Maryland School of Medicine.

*Source: Vince DollardEmory University

Vía: http://www.physemp.com/physician_jobs/perma_radiology_jobs.html

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Cancer Biomarkers can detect changes before the disease manifests itself, according to experts

Los biomarcadores ofrecen información a nivel molecular y metabólico and can detect abnormalities that originate before anatomical changes take place, ie before the disease manifests itself and shows clinical signs, as highlighted by the Chief of Radiology and Polytechnic University Hospital La Fe, Luis Martí- Bonmatí the occasion of the III Refresher Course in Molecular Imaging and Imaging Biomarkers. The training, organized by the English Society of Medical Radiology (SERAM) and the English Society of Nuclear Medicine and Molecular Imaging (SEMNIM), with support from Philips Healthcare, will be held on April 8 with the aim of giving the latest trends in medical imaging other professionals nationally and internationally.

During the course, present numerous innovations in the field of molecular imaging and biomarkers, including multispectral TC, to analyze the presence of certain elements in very small concentrations. This technique is defining new areas of cellular imaging in degenerative diseases as common as atherosclerosis. Also, learn about new clinical applications of emerging techniques such as PET-MRI, combining anatomical and metabolic information. "This time we focused on two areas where this new way of defining and quantifying image information is particularly relevant: the Cardiology and Oncology, "said the president of the SEMNIM, Francesca Pons.

** published in" The Doctor Interactive "

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Travel: Discover the pleasure of rural life in the Catalan Pyrenees

If you want to spend some days in contact with nature, sports, and feeling all the charm of rustic life, but without giving a massage or a thermal circuit, your fate is in the Catalan Pyrenees. There is Berga Resort (tel. 938 211 250) a complex with three fully equipped accommodation, facilities for various sports and a large Wellness Club with fitness center of 12,000 square meters and thermal spa area hydrothermal pool cervical and lumbar jets, water beds, ice fountain, aroma steam bath, Finnish sauna, shower temple with aromatherapy, thermal loungers ... The accommodation, ideal for a family getaway or a group of friends, consisting of wooden bungalows, mobile homes and chalets.

We suggest a stay in the countryside in a wooden bungalow with children's activities each morning for children 3 to 8 years with monitors and all facilities such as sports and children including indoor heated swimming pools, gym, fitness, tennis, paddle , and an input to the circuit water per person. From 15 to 21 / 4, 7 days - 6 nights from 462 euros. 21 to 25 / 4, 5 days - 4 nights from 720 euros.

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General Practitioners argue that the use of ultrasound allows early detection in Care Primary abdominal aortic aneurysm

"The ultrasound technique has great benefits in the diagnosis of many diseases and abdominal pain is of great use, because of clinical pictures similar to allow discrimination between different possible diseases," said Dr. Manuel Devesa , speaker at the table Inquiries digestive symptoms in adult and pediatric patients, which opened yesterday afternoon at the XII International Congress of Clinical Ultrasound of the English Society of General Practitioners and Family (SEMG).

For Dr. Devesa, "the similar clinical pictures of many abdominal difficult ultrasound diagnosis and stands as an extremely important tool in this type of symptoms, because it allows the general and family medical diagnosis from common diseases such as cholelithiasis (very common in middle-aged), to boxes and even appendicitis or diverticulosis currently undiagnosed diseases such as aortic aneurysm. " "And is that ultrasound," said Dr. Francis Carmona, president of the Congress Organizing Committee, "after a thorough history, is for us a crucial tool for confirming the suspicion clinic. "

The aorta is the main artery of the body. It stretches from the heart through the chest to get to the abdomen, where it bifurcates into the two iliac arteries, which are directed to the lower limbs. "The abdominal aortic aneurysm is a localized dilation in that area, usually near the iliac bifurcation," said Dr. Devesa, who explains that "it is often the patient does not feel any discomfort, even when the expansion is expands to a certain point may appear sudden abdominal pain, nausea, vomiting, abdominal wall rigidity and even a visually perceptible mass. "

symptomatology, common to other abdominal conditions, as noted by Dr. Devesa, "does not clarify the patient's illness, but thanks to ultrasound can locate and identify its existence." This is something crucial in view of the threat of imminent rupture and the resulting situation that causes massive internal bleeding immediately life threatening, "said Dr. Devesa. "Hence the importance of detecting this disease in time."

The same goes for many others, because, as explained by Dr. Carmona, the ultrasound in the general practitioners and family can act quickly to address the consequences of the disease: "It helps us in interpreting and easier to refine the diagnosis, avoid other examinations and laboratory tests even more aggressive and unnecessary referrals to specialists, if this were necessary after ultrasound examination of the information submitted is much more complete and guidance, which favors the specialist decision-maker less time and with better knowledge of the clinical situation: what matters ultimately is that we gain flexibility and reduce time to resolution of their problem to the patient, and the logical step is alleviated anxiety and uncertainty that any delay will occur. "

-An indispensable tool in the Primary Health Care training required
"For the first time at a scientific meeting of the Section of Ultrasound Ultrasound scans will be addressed in primary care from the perspective of professional practice in the office everyday," said Dr. Javier Amorós, head of the Ultrasound Section of the SEMG. Therefore, this twelfth edition was celebrated under the theme Ultrasound in the daily.

this year's edition of the International Congress is aimed at addressing various diseases that the doctor's area of \u200b\u200bprimary care are common and likely to be studied by ultrasound, such as digestive, urological, musculoskeletal and located in the neck or breast.

For the table on breast ultrasound, Dr. Amorós specifies that "will address the technical exploration through radial duct in men and women by attending a localized symptoms in the breast region, including the study detected mass, or simply want a preventive examination. " Concentrating

one more year in the diagnostic possibilities that allows the general practitioner and family have a scanner in their daily work, the Congress, which ends tomorrow, has a thirty papers and dozens of Free Papers presented by Congress.

This scientific meeting each year is the best example of the activity that has developed over the past two decades, Section of Ultrasound of the SEMG, backed by more than 250 hours of annual training activities, 50 intensive training in basic abdominal ultrasound and so far, 11 international conferences.

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Leading experts in management and financing analyze key health to meet the financial needs of the Spanish health system

Leading experts in management and health financing discussed on Monday at the Day of Study on Health Financing in Spain, the keys to successfully meet future financial needs of the national health system, so as to maintain improve their levels of coverage and excellence. Thus, during this meeting organized by Bamberg and Lilly Foundation, which is held in the Aula Magna of the Consejo Superior de Investigaciones Científicas (CSIC), will present ideas to enrich the current debate over the sustainability of national health systems in Europe and countries economic and cultural environment of Spain.

By organizing this conference, the Foundation Bamberg, who was born with the aim of promoting rational use of health technologies, continues to promote actions to achieve improved effectiveness and efficiency of the health system, involving professionals, authorities and society in general. On the other firstly, to improve the quality of life of patients is the main objective of Lilly. And for this, among other actions, the company promotes programs and forums to facilitate exchange of knowledge and where solutions are analyzed and initiatives related to health, management and financing, as is the case at this meeting. In the words of Eric Patrouillard, senses of Lilly Spain, "The areas of discussion are essential to propose alternatives to improve the healthcare system and exchange knowledge, so from Lilly promote meetings to facilitate these discussions."

In that sense, this is the second time that Lilly and Bamberg Foundation collaborate in organizing a conference reflection. Last year they organized the day of study the present and future of universal health care system in which health policy makers discussed the opportunities, risks, strengths and weaknesses of these systems funded from the general state budget.

-A full day with a major presence
health authorities to address the issue of health financing in Spain has designed a program in which experts in management and financing in the health field, from different institutions, associations, and entities as well as prominent professors of health economics, economics applied, managers and directors of clinical management, and international experts. Through his extensive knowledge on the subject, analyzing different aspects of health financing, and the possibilities that can be explored to improve the system, the relationship between national income, financing and public budgets, existing initiatives to move towards management efficient or consideration of alternative financial models and the different international experiences that exist in this regard.

In order to analyze in depth all these issues with the participation of former Health Minister Julian Garcia Vargas, the deputy general Farmaindustria, Javier Urzay, the president of Lilly, Eric Patrouillard, the president of the Foundation Bamberg, Ignacio Rodriguez-For Santana, the president of the International Association of Health, Marciano Sanchez Bayle, the president of the English Organization of Hospitals and Services Health Bonel José Soto, the president of the English Association of Health Economics, Juan Oliva Moreno, and Professor of Applied Economics at the University of Pompeu Fabra, Guillem López-Casanova. International experts also the size of the executive member of the National Association of Primary Care (UK), Charles Alessi.

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'BARRIERS IN THE IMPLEMENTATION OF COLON CANCER SCREENING IN SPAIN'

held in March European Cancer Month Colon and the next day 31, it commemorates the World Day of this disease. Colon cancer is the most common malignant tumor in Spain, considering both sexes, and the second leading cause of cancer death. This contrasts with the high cure rate if diagnosed early, it can be cured in 90% of cases if detected early.

In this sense, requires more effort and drive to implement mass screening programs and early detection. Screening programs through analysis of faecal occult blood could save over 3,600 lives annually and reduce mortality by 30%. However, 2010, only 11% of the English population over 50 years was included in mass screening programs for colon cancer.

To raise awareness among professionals and authorities, as well as society at large about the importance of these screening programs, the Alliance for the prevention of colon cancer has organized the Day 'Barriers to implementation of screening colon cancer in Spain ', next Wednesday, March 30 at the Hospital Clínico San Carlos of Madrid. This Day has the support of the Ministry of Health, Social Affairs and Equality, the Ministry of Health of the Community of Madrid and the Royal Academy of Medicine (RANM).

Professionals from all over Spain will present the experiences of his region and the main challenges identified for the implementation of population screening for colon cancer. The participation of representatives from fourteen CC. AA. different, which also partners in this day-is a milestone in this field. It also will release a statement by the Alliance on the attention to high-risk population for colorectal cancer.

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Scientific Societies of Pneumology of Latin America, Portugal and southern Spain to demand greater legislative pressure that

More than two hundred specialists English, Portuguese and Latin American meeting in Línea de la Concepción (Cádiz) in the framework of the XXXVII Congress Neumosur, have called for increased legislative pressure for tobacco companies to report the exact composition of cigarettes, and particularly of the substances added artificially to modify its properties, substances that today are protected as trade secrets, despite the discoveries to date have demonstrated that cigarettes are now more than "designer drug" that snuff. American scientific societies (ALT), Portuguese (SPP) and southern Spain (Neumosur), lamenting that in both developed and developing others still there is no effective legislative control of a substance that kills more than half of those who consume their usual dose and considered absolutely necessary that the entire manufacturing process of cigarettes, including the final stage known as "salsa" , and which are blended aromatic and taste properties, is completely transparent to the public and health authorities.

All research conducted from 1965 to date are inconclusive regarding the inclusion of additives to increase the absorption of nicotine, and therefore, smoking addiction, as well as the presence of radioactive substances such as polonium (Po) as radiation has a significant synergistic effect with other chemical carcinogens snuff, leading to increase from 8.3 to 25 times the risk of lung cancer throughout life, in relation to the non-smoker. A recent study in the United States (1), has confirmed and extended these data, contributing to the conclusion that the radiation dose received by the smoking population is 36 times greater than the sum of that received by workers of all nuclear power plants United States and all military facilities that use nuclear energy.

is also known snuff how companies have added chemicals derived from artificially ammonia to increase pH and therefore increase the absorption of nicotine in cigarettes, which increases the degree of addiction. Two internal reports snuff company Brown & Williamson (B & W) revealed the circumstances. These two reports were published in October 2005 by the Wall Street Journal. The first report, in 1991, is a manual on the manufacture of snuff that is, above all, the chemistry of ammonia. The second makes a competitive analysis of the best known brand of Philip Morris (Marlboro), studying all the technology of ammonia used for this brand. Finally in this report concludes that "ammonia is the key technology of Marlboro." As is known, this issue (artificially add ammonia to increase nicotine addiction) was the basis of the complaint lodged by the Junta de Andalucía to tobacco in relation to health costs of cigarette smoking.
All these data, little known by the general population, and even health professionals suspicion how far it can be manipulated this addictive consumer product and highlight the enormous importance that the law requiring tobacco companies to last line of what remains today is part of their "secret."
In this regard, pulmonologists remember that the Penal Code subject to penalties of up to twelve years' imprisonment and disqualification for public office or employment, profession or trade for a period of six to ten years "which sets one or more persons ionizing radiation that endanger their lives, safety, health or property "and sentenced to" imprisonment of one to four years, a fine of six to twelve months and disqualified for a profession, trade, industry or commerce in time of three to six years anyone who "alters with additives or other unauthorized agents that might harm the health of people food, substances or beverages intended for trade food. " In this regard, inviting us to think both snuff industry as the governments and administrations are to maintain collective security and public health, to act accordingly.

-Snuff and poverty
Studies indicate that by 2030 the number of deaths caused by tobacco use worldwide will exceed 8.3 million and most of these deaths (70 percent) will occur in developing countries. In Latin America usually smoke 1 / 3 of the people, the Southern Cone countries (Argentina, Uruguay, Chile, Paraguay and Brazil), more smokers. The results of the Global Survey on Youth and Snuff (GYTS) applied to students 13 to 15 years also show that South American countries currently have the highest consumption of cigarettes in adolescents. At the same time, the snuff, in the opinion of the American pulmonologists, a factor that hampers the development of these countries, quite contrary to the claims of the tobacco industry. It is, in essence, a vicious circle: the poor are more likely to smoke than the rich and poor households spend a greater percentage of their income on snuff. According to the WHO itself, "together, snuff and poverty form a vicious circle from which it is sometimes difficult to escape."

addition to asking the tobacco companies report the exact composition of their cigarettes, pulmonologists meeting Neumosur Congress considered vital to raise the price of snuff (in Argentina, for example, a pack costs more than 1.2 million) and advance laws prohibiting smoking in public places (in those countries where they exist), a complete ban on advertising and funding of treatments dependent smokers.

* Caption
Attendees at the First Symposium Alat-SSP-Neumosur (left to right): Lourdes
Barradas, coordinator of the Tobacco Committee of the Portuguese Society Daniel Buljubasich Pneumology, President of the Sociedad Argentina de Tabacología, Cristina Barbara, president of the Tobacco Committee of the Portuguese Society of Pulmonology, Francisca Lourdes Marquez, Division of Respiratory Medicine. Hospital Infanta Cristina. Badajoz, Victorine, Lopez, president of the Latin American Thoracic Society; Francisco Casas, Neumosur President, Pedro Romero, Coordinator of Tobacco in Neumosur.

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tobacco report "The philosophy of medical education must change from top to bottom, it is not proper" Spanish

"The excessive bureaucracy, overcrowding and modernization of primary care consultations greatly hinders the development of humanistic facet of family doctors, "said Dr. José Hernández Úrculo, director of the Institute for Bioethics and Humanities (IBH) of the English Society of Primary Care Physicians (SEMERGEN) and coordinator of the Lecture Series of the IBH. "Governments are primarily responsible for this type of structure, in which the doctor should be given greater autonomy and have more means at its disposal, among other things. "We are the gateway to the system, but we should also be out."

In this context, Dr. Hernández Úrculo said that communication is "the great unfinished business" the doctor-patient relationship. Therefore, "the current philosophy of medical education must change from top to bottom, it is not the best." To begin with, "should be seen lounging at the patient as a whole thinking and suffering." At present, the study of human being several steps, with proof of this the content of the traditional subject of Anatomy. During his lecture, delivered at the headquarters of the College of Physicians of Cantabria, the expert has spoken of "wage and purchasing power of a country doctor in Castro Urdiales between 1830 and 1930."

For his part, Dr. José Francisco Díaz Ruiz, director of Organization and Teaching of SEMERGEN IBH, has reviewed the origins of bioethics has focused on "one of the rights of patients that have arisen following the development of this discipline in Spain: the living will." Today, all regions have legislation in this regard, hosted in turn by the Patient Empowerment Act of 2002. "The consolidation of the national register of wills is pending solely on the integration of data from a few regions," said the expert. "Being a relatively new law, there is still a great effort to spread among the general population healthcare professional. "

"The doctor-patient relationship in the Middle Ages
The lecture of Dr. Fernando Salmon, Professor of History of Medicine at the University of Cantabria and chairman of the Scientific Committee of the European Association for the History of Medicine and Health, is the result of research that has shown that "a communication with the patient based on trust and adequate mobilization of positive emotions such as joy and hope in recovery, were an important part of the training of medical students the Middle Ages, "he says. "Academic Medicine the XIII and XIV was able to manage and incorporate the basic elements of all relationships of care as part of its technical apparatus, "he adds. Regardless of the adequacy of diagnostic tools and prescription drugs, the medical student learned that "an important part of the priest was himself and the relationship was able to establish with his patient."

Finally, Dr. Luis Montiel, Professor of History of Medicine at the University Complutense of Madrid, has based his lecture at the German Romantics called doctors, who "introduced a new style of medicine, and many revolutionary no sense. " It is a philosophical medicine linking humans with nature and emphasizes what they call "night aspects," as cenesthesia, dreams, psychic abilities unexplored. Quickly incorporate the "animal magnetism" invented by Mesmer, but from a perspective much less materialistic. The discovery that, in terms of "magnetic somnambulism", the patient reveals unthinkable things on his body, his disease and its possible cure-what today would fall within the psychosomatic or purely mental, makes these doctors allow their patients relax for the first time.

'A shifting cycle of SEMERGEN
The IBH has organized for the first time in his Lecture Cantabria, which aims to become an itinerant activity intended to reach the largest possible number of first level health care professionals. In fact, the next edition will take place at the College of Physicians of Valladolid next October. This activity aims to address various aspects of the clinical practice of primary care in which the humanist side should have priority.

** Pictured, from left to right, Drs Fernando Salmon, José Hernández Úrculo, Carlos Leon, president of the College of Physicians of Cantabria, Matilde Sierra, president of SEMERGEN-Cantabria.

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22 million suffer from chronic illness

About 22 million English suffer from some type of chronic disease and 70% of health spending is attributed to the diagnosis, treatment and monitoring of such diseases, as highlighted by the experts at the Forum on Management Chronic Patient, organized by the European Institute of Health and Welfare, in collaboration with Novartis. Ever more chronic patients due to an aging population and improved treatment, "the president of the European Institute of Health and Social Welfare, Manuel de la Peña, who warns that, for this reason, it is necessary "to address the problem of chronic patient management."
is estimated that 80% of primary care consultations and 60% of hospital admissions are for chronic diseases. In turn, after 75 years a higher percentage than 50% have four or more chronic diseases, many of these patients is polypharmacy, ie between 7 and 10 take drugs every day. "In Spain we have one of the best internationally recognized health systems, but is geared mostly to the care of acute. Given that about 70 percent health budget corresponds to the management of chronic conditions is necessary to redirect, "the deputy chief medical officer Care Quality and Control of Hospital de La Ribera of Alzira Valencia, David Cuesta.
To this end, experts agree that the key is "optimize health resources" and "enhance self-management plans, which involve the patient in understanding and managing their own illness." You have to bet on the coordination between primary and specialized care to avoid duplication of conducting diagnostic tests, "says de la Peña, who believes in this regard is" important "the implementation of digital.Asimismo history, This specialist insists that the patient must be aware about their disease and "take a more active" management. Because of this, "key" pathology education, enabling, in turn, "related measures promoting a healthy lifestyle."

-The Role of Telemedicine
regard to possible innovations in the management of chronic patients, de la Peña emphasizes the role of telemedicine as an element that allows you to "collect analytical data, based on that" to take necessary decisions to improve health care quality. "In addition, another of the alternatives raised by the President of the European Institute of Health and Social welfare is "targeting primary care more" to give it as electrocardiography tests, which enable the monitoring of patient care at this level.

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Andalusia and the Algarve seek joint strategies to incorporate the participation of children in the health programs and services

The Ministry of Health and officials of the Regional Health Administration (ARS) The Algarve Huelva held today at the working seminar "Bringing children's voices in the Public Health System in Andalusia and the Algarve", aimed at pursuit of joint strategies to incorporate the participation of children and adolescents in health programs and services.
This initiative, led from the Centre for Health Project and sponsored by the Health Council of Minors of the Ministry of Health, aims to encourage the development of lines of facilitating the inclusion of the voices of children in preventive programs and health promotion, and the adequacy of the design and operation of the health centers and services to the needs of the child population.
Specifically, this seminar is a continuation of joint activities completed between Andalusia and the Algarve on the approach to juvenile obesity to promote healthy lifestyles in this population, raising awareness among professionals, to encourage participation childhood and develop new research projects and innovation that improve opportunities for children to end up acquiring new healthier habits.
In total, 35 professionals with different levels of responsibility in caring for children in both regions will attend the meeting. Among them, managers of health services, pediatricians, nurses, social workers and representatives of organizations dedicated to this group.
addition, the seminar includes the participation and advice of Professor Francesco Tonucci, author of the international project 'The City of Children' already intervened in the First Forum on "Health and Child Participation" held last year in Seville. Working together


-Andalusia and the Algarve have been developing several lines of joint work in the Health Centre project financed with almost 4.3 million euros by the European Union. The specialties in which there is greater collaboration is palliative care, prevention of breast, colon and cervix, human assisted reproduction treatment, spinal injuries, cardiac rehabilitation, prevention and detection of gender violence and holistic approach to obesity child.
On the other hand, the Ministry of Health has been working since 2010 on the incorporation of children, when it established the Council Health of Minors, a body composed of representatives of the Directorate General for Children and Families Department of Equality and Social Welfare, the Directorate General for Health Care Health Service of Andalusia, the Andalusian Council of Juvenile Affairs The Centre for Children in Andalusia, the Directorate General of Participation and Innovation Ministry of Education and the Public Prosecutor as well as two minors designated by the Youth Council of Andalusia and two minors designated Andalusia School Board.
In fact, the agency has met this month to present the conclusions obtained after The First Forum on "Health and child participation 'and initiate a roadmap that will serve to assess and plan how to introduce proposals for improvement of children in community health programs.

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A clinical trial results confirmed, for 1 st time through an objective technique, NMR (nuclear magnetic resonance), the modifying effect of chondroitin sulfate

A group of Canadian researchers led by Prof. Jean-Pierre Pelletier, Director of the Osteoarthritis Research Unit, University of Montreal, has published a clinical trial, confirming for the first time resonance (MRI) quantitative, the structure-modifying effect of chondroitin sulfate, a symptomatic slow acting drug for osteoarthritis (symptomatic slow acting drug for osteoarthritis-SYSADOA-). This trial, published in the prestigious Annals of the Rheumatic Diseases (impact factor 8111) determined the effect of treatment with chondroitin sulfate (CS) on the volume loss of cartilage, subchondral bone lesions (BML) and synovitis patients with knee osteoarthritis. "The study," says Prof. Pelletier, "has focused on quantifying over time by NMR, the major structural changes observed in cartilage, bone and synovial membrane.
The researcher says that after only six months of treatment with CS, patients have a significant reduction in the loss of articular cartilage volume compared with the placebo group and for the first time, a significant reduction in subchondral bone lesions after 12 months. In the opinion of Prof.
Pelletier, these data highlight not only the importance of the interrelationship between the cartilage and subchondral bone in osteoarthritis, but also its potential role in the disease process and response to treatment with SYSADOA. Prof. Pelletier
concludes that "the CS is a safe drug with an overall positive effect on osteoarthritis, significantly reducing the volume of cartilage loss in osteoarthritis of the knee, and for the first time provides new information on its effect positive in vivo on other structural changes observed in this disease. "
Jean-Pierre Pelletier explains that clinical trial results show that CS is able to slow the progression of osteoarthritis, but that does not mean it is able to cure. "The cure is the regression of all injuries related to osteoarthritis," he says, "and that's not the case. CS slows the progression of the disease. This is an important finding given that a reduction in the progression of cartilage loss in patients with knee osteoarthritis, as seen by NMR, could potentially reduce the need for total knee replacement "phenomenon has been observed in other trials clinical by NMR. "

-Confirmation of previous studies
The trial of Prof. Jean-Pierre Pelletier is consistent with findings of previous studies describing the positive effects of CS on the pathophysiology of osteoarthritis (Kwan S et al 2007, Monfort J et al 2005; Bassleer et al 1998; Ronca, 1998, etc.) and support the ability of CS to alter the natural disease process, as previous clinical trials have shown developed by Kahan (2009), Michel (2005), or Uebelhart (1998 and 2004), and 2 meta-analysis of Hochberg (2008 and 2010).
Similarly, Professor Pelletier says that all these findings refute the conclusions reached by S. Wandel et al. in a meta-analysis published by the British Medical Journal in 2010, which claims that the SYSADOA not offer benefits in the treatment of patients with osteoarthritis.
In this regard, Prof. Pelletier says the methodology used by Wandel et al. is questionable, based on the opinion of various experts in the field of osteoarthritis, as reflected by the various letters to the editor published about it in the online edition of British Medical Journal, some of which have also been published in the print edition magazine. The results of the meta-analysis of Wandel et al. contradict those of other meta-analysis by scientific experts in this field have shown CS is an effective symptomatic treatment for arthritis and can slow its progression. "" In line with my earlier comments, it is noteworthy that after the publication of this meta-analysis, one of the editors of the British Medical Journal made an official statement contained in the website of the magazine, which questioned some of the article's claims and even cited a possible conflict of interest by the statistical editor of the magazine, so the validity and reliability of this meta-analysis has been seriously compromised, "Prof. Pelletier specified. Future objectives
-

The expert says the results of this trial Pilot clinical MRI are performed by highly positive and promising. Given the proven efficacy and safety of CS, undoubtedly represents a valuable treatment option for arthritic patients. However, it noted: "It is important that patients take CS highly purified pharmaceutical grade, as used in this study, since it is the only one who can guarantee these results for efficacy and, especially, safety."

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Interdisciplinary collaboration vital asset to the control of contamination in hospitals

Opened by the Councillor for Health, Migration and Development Cooperation of the Municipality of Santander, Grace Mrs. Carmen Martin, and collaboration with Pall and Steris, was held today BIOSAFETY CONFERENCE, organized by the North of Preventive Medicine and Public Health (Socinorte) around the control of water and its pathogens, especially in hospitals

More than 90 experts in Cantabria have discussed measures to control water the battle against legionella, regulation and environmental biosafety monitoring and bioremediation.

Mozota For Dr. Jesus Ortiz, Chief of Preventive Medicine, Public Health and Patient Safety, University Hospital Valdecilla "The day was highlighted especially the importance of interdisciplinary collaboration for the control and prevention of such contamination "

Legionella is a bacteria present in the water we eat and only poses a risk to healthy individuals when their number increases in excess can infect people to the point of causing death. Elderly, infants, patients with chronic diseases or with compromised immune system (renal failure or diabetes, people undergoing chemotherapy or corticosteroids, among others), require the implementation of additional security measures in hospitals, homes for the elderly etc. Benigno

Ferro, Ingeclima wit, and one of the speakers at the Workshop, highlighted the importance of designing facilities for operating rooms and other critical areas of the environment hospital.

One of the key issues of concern to attendees is the control of hospital water: water heating systems and chilled water for human consumption (for intake, showers and washing matter) and evaporative cooling equipment, primarily.

There are methods of disinfection of water to prevent the spread of Legionella (chlorination or ionization), methods of shock (heat and chlorine), and local methods (ultraviolet and bacterial filters) effective to obtain water free of microorganisms in endpoints
water supply
general treatment measures for the control and prevention of these bacteria, chlorination, hipercalentamiento, etc. should be supplemented with other systems like filtration, a safe, effective and immediate face outbreaks and specific situations of Legionella in clinical areas of risk, until the application of systemic disinfection measures serves to restore the normal installation, set by English legislation

Implementing these measures is expensive so it is necessary to correctly identify those areas especially "sensitive" cost-effective measures to eliminate bacteria and keep the risk of infection as low as possible.

to Dr. Miguel Angel Orbach, Ph.D. Civil Engineering and Bachelor of Environmental Science and one of the speakers at the conference "" In terms of filtration efficiency of these measures passed by the proper sizing and selection of filter media, so that the filtration process represents an improvement in the quality of water. In terms of employment of bacterial filter to protect the high-risk patient, numerous clinical evidence, international guidelines and even legislation that support the adoption of such measures on a permanent basis in both tap and shower "

Paul Thody, representing Dr. Amy Ray, Medical Director of Infections Control Medical Center, Cleveland (USA), presented addressing a disease outbreak in several species of pathogens, focusing on Acinetobacter baumannii: casuistry, causes of the outbreak, impact on standards of health care in critically ill patients, with descriptions of the interventions to address this situation including the use of technology vaporized hydrogen peroxide (VHP) as a highly effective technique in controlling these situations.

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Data on the Healthy Life Years in the European Union

A Healthy Life Years (HLY) is the main health improvement goal for the EU. At present HLY at birth in the U.S. is, on average, 15 years life expectancy Shorter Than overalls for men and 20 years Shorter For Women. The
Calculated by Eurostat data for the year 2009 shows clear differences between Member States in life expectancies without disability. As a whole men in the EU27 were expected to live 79.7% of their life without disability in 2008. In 2009 men in Malta could expect to live 88.9% of their life without disability, men in Sweden 88.8%, Bulgaria 88.4%, Norway 87.6%, Iceland 86.1%, Romania 85.3% and Lithuania 84.4%. Women in the EU27 could expect to live 75.2% of their lives free of disability in 2008. In 2009 Healthy Life Years in percentage of life expectancy for women were beyond 81% in Malta (85.3%), Bulgaria (84.8%), Sweden (83.3%), Iceland (82.3%) and Norway (81.5%).
Some suggest that life expectancy has reached its limits; however, there is no evidence for this. Female life expectancy has risen for 160 years at a rate of 3 months per year. In 1840 the longest survivors were Swedish women who lived an average of 45 years, while now the life expectancy of French, Italian and English women is around 85 years. Before 1950 most of the gain was due to a reduction in premature deaths. In recent decades it has been due to an improvement in the survival of people over 65. The old notion that even under favorable circumstances human beings have a characteristic lifespan is now being challenged. The enduring belief that the ceiling is finally about to be reached has repeatedly been disproved over the last 100 years. If the current trend of life expectancy increasing by 2.5 years per decade persists, the average lifespan may be 100 years by 2070.
The disability burden expressed in health-care expenditure (in kind and in cash) and pensions is a major proportion of national expenditure. Increasing age and life years spent in poor health mean greater medical needs in particular with regard to pathologies such as degenerative vascular diseases, cancer, and Alzheimer's and other neurodegenerative diseases. The sick elderly are a greater financial commitment than their healthy counterparts. If the retirement age is to be raised, people must be physically able to work and enjoy healthy life years.
The percentage of the population aged 65 and over, which started to rise sharply from the latter part of the last century, is continuing to rise. In 2008, 17% of the EU27 population were aged 65 and over (countries ranging from 11% to 20%), and this is likely to rise to around 24% by 2030 (Source: Eurostat, EUROPOP2008 convergence scenario).
Trends over time on Healthy Life Years and Life expectancy are also available from the Heidi data tool :
See Healthy life years at birth and at 65, by gender
See Life expectancy at birth and at age 65, by gender




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Free Course to learn and to prescribe drugs for allergies

Spring in Spain is synonymous with allergies. There is no data to go on to realize this: Of the patients who suffer from allergic rhinitis, 50% suffered from perennial allergic rhinitis and 50% seasonal allergic rhinitis. In addition, 84% of patients with allergic rhinitis coexist with the annoying nasal congestion. Therefore, and for pharmacists to provide better information to their customers, Asefarma, one of the Pharmacy Consulting leaders of our country (http:// www.asefarma.com ) and has more than 300 pharmacies as customers, organized by the hand of the Laboratory MSD and Dr. Eduardo Junco, "Allergy, a systemic disease," a workshop. "In spring, pollen counts, grasses and other allergens own rise considerably this season causing many cases of people suffering from seasonal allergies (hay fever) with nasal congestion. In Spain there are a large number of people who do not know they have seasonal allergies and do not come the doctor for diagnosis if they are going to the pharmacy and self-medicate. Thus some patients may be confused thinking they have a cold, being a very similar symptoms, and follow a wrong treatment, "explains Belinda Jimenez de los Santos, Head of Procurement of Asefarma.

"The best advice
So what things Asefarma want to accomplish with this conference is to update the information for all those working in a pharmacy within its functions are to advise and assist customers who buy products for VET allergy relief. "Pharmacists have information, but being a seasonal item, and the supply of drugs is updated, it is advisable to be well prepared to advise patients and stay updated on the supply of VET drugs available, "added Jimenez de los Santos. "Within the VET supply of medicines for the treatment of seasonal allergy with nasal congestion, there is great variety, so it is important difierenciar components and the effects produced by each. For example the drug can offer you a patient who wants to have an effective and practical relief to continue their normal activities without getting sleepy. "

The seminar will focus on these content
- infectious and noninfectious rhinitis
- viral rhinitis, influenza, common cold.
- Types of non-infectious rhinitis: Pollinosis
- Antihistamines: Histamine Antagonists HI, HII antagonists
- Antihistamines Decongestants

Regarding the Asefarma tandem to carry out this course with MSD Laboratory, noted that was due to excellent reputation and long experience of the company. "It is a laboratory with a solid background and drug recognized for many years in health and patient care. It also has a variety of solutions for patients with different types of allergy and knows the needs of patients and which drugs are the most recommended for each type of allergy, "said Asefarma responsible." Prior to the lecture there will be a catering courtesy of MSD. " __________________________________________________________________________________________________________________________________________________________________________

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ESTEVE described as 'excellent' for its research activities Asefarma

Un año más, ESTEVE ha obtenido la calificación de ‘excelente’ por sus actividades scientific research, technological development and innovation grants Profarma Plan, the Ministry of Industry. It is a distinction the company has achieved continuously for 25 years, when it launched the Plan in 1986.
innovation and internationalization are two strategic axes ESTEVE, a company that invests around 60 million euros annually in research and has a team of nearly 2,900 professionals, of which 11% is devoted specifically to R & D. The result of this strong commitment and effort, is the annual renewal of the top rating in Profarma, an official stamp of quality promotes the R & D in the pharmaceutical sector.
Specifically, ESTEVE is drawn in Group A Profarma Plan, which includes those pharmaceutical companies with significant research activity actually plant or R & D center itself (basic or preclinical).

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A marriage and two brothers who have lived through together explain transplant patients on the waiting list the benefits of donation

Rosario and Ariolfo are a couple who heard about the possibility of giving live on the Internet looking for information. Only 40 days ago that the second has donated his kidney to the first. She initially did not want, because I was afraid that the health of her husband resented in the future. But it was he who convinced her that nothing bad would happen. Moreover, Ariolfo not hesitate to say that "if I had a third kidney also donate to my wife's aunt who is on dialysis or anyone who may need it. Even my doctor plated cross a donation because he had seen on the internet that had been done in Barcelona. "

Before the operation, when people commented on his idea was shared by few. According to Rosario, "the fear caused by the ignorance of not knowing things, is what makes people not dare to live donation."

The night before surgery, Rosario was nervous about what might happen to her husband. However, reiterates that no Ariolfo moment he felt afraid. Further, said that the night before the operation was very happy because at last the time had come to help his wife. Upon awakening from anesthesia, the first thing he did was ask Rosario the status of your husband, not yours. Ariolfo, a day after he was involved "escaped through the corridors of the hospital half dizzy to go see his wife."

Hilario received a kidney from his brother Julio in December 2010. Hilary did not want to receive an organ from his brother "went wrong because if I could carry my brother's life." When he got home and I told his wife he found his She replied that she was first, before his brother.

Now, after the intervention, Hilary advises people "to do so without fear, my brother is great and I'm terrific." Moreover feel that the relationship with his brother has changed, "Now the two are one. It is as if we were twins. " Regarding the quality of life you have now, particularly appreciates things like "the pleasure is to drink a glass of water or eat a soup broth, because before I had to eat the noodles with a fork."

Julio was clear from day one to be giving your brother Hilario. He also claims that at no time felt fear, among other things because "the doctors had always made it clear that donor safety premium. So people should not be afraid to donate while still alive. "

Rosario, Ariolfo, Hilario and July will be the "living witness" to explain to patients awaiting a transplant the advantages of living donor transplantation. How did you hear that there was a possibility of living donation? ? What fears had each? What thought and advised them to family and friends? Is the donor's health suffered since? How did they live donor and recipient together the night before the transplant? Why do you think that people are afraid to be a living donor? How has life changed since donor and recipient?

To answer these and other issues, one of these couples will be available to journalists upon request of interview on Tuesday 29 March at 11:30 at the headquarters of the National Federation ALCER (C / Don Ramón de la Cruz 88 , Low).

same day the two couples will participate in the forum with LIFE, a journey that led by the National Federation ALCER and the ONT will be held at the Hospital Universitario Ramón y Cajal de Madrid and in which from 18:00 h at 20 : 00h, doctors and patients transplanted kidney teach what exactly and what are the benefits of living donor kidney transplant (TRDV), renal transplantation and transplantation cross chain.

According to the ONT in Spain were in total 2,328 2,009 kidney transplants, of which 235 were made possible by the participation of living donors, a record in our country. In the nineties, such donations did not exceed 20 per year. Since 2002, twenty-three health centers can make a schedule TRDV.

In Spain, the donations are made mainly between parents and children (45%), followed by between spouses (31%), sibling (16%) of children to parents (4%) and other (4%). Of these grants, 66% are made by women and 34% men

Those attending this forum with the VIDA receive information about TRDV process (procedures, tests, etc.) as well as the general requirements to qualify for a TRDV. Also be informed about the peculiarities of the extraction of organ graft donor and the receiver, risks, complications, etc.

The insufficient number of donors to eliminate waiting lists, increasing the average age of donors and the limited supply of kidneys young, have prompted the launch of live donor programs. This type of donation has advantages such as profit psychological to the donor by the act of solidarity and altruistic who has starred in, the better chance of successful transplantation, the possibility of early renal transplant without going through dialysis, shorten the time spent on the waiting list and increased retention of the transplanted organ compared to cadaver organs.

The Nephrologist is who should inform patients about the possibility of TRDV, including information about the immediate and long-term risks and the chances of success. There is also need to sign a donor and recipient consent, written and freely made without coercion of any kind and nature revocable (before extraction). It is therefore essential to review the motivation of the donor, ensuring that there is no evidence of coercion, or possible economic motivation whatsoever.

whole process of living donation in Spain is protected by a series of legal, informational and procedural. In addition, the hospital's ethics committee which is extracted and the transplant must oversee the whole process. Likewise, the Civil Registry Judge of the locality where the extraction and transplantation should be performed to check that all requirements are met as required by law.

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"Doctors and Patients" today celebrates its first 1,000 days

's Diary digital "Doctors and Patients", celebrates its first 1,000 days of information, an act which will take place at 19:30 at the Hotel Villa Real Madrid, which will give a talk about digital journalism director of Medical Journal Javier Olave, and will be closed by the President of the Medical College (WTO), Juan José Rodríguez Sendín.
"Doctors and Patients" began as a public service to provide health information to the public health today with the support of the General Council of Medical Colleges. At this time there has been a source of independent information any political or economic power, and reliable to be supported by the Medical Association itself.
This has resulted in over 30,000 visits monthly and over 600,000 page views per year. And above all, has become a valuable collection of documents and that more than 6,500 news items published during this time, are available at all times thanks to its search engine by keyword or by date. Find
health information or health issues on the Internet is easy (there are over 50,000 web sites that address this issue), but it is difficult for many users of the network is able to distinguish which of this information is reliable. Thus, going to sites supported by scientific societies or in this case, by the Council General of Medical Colleges, offers a warranty plus: no better than the organizations that represent physicians to move about their positions before the current issues and detailing the purpose and conclusions derived from their core businesses.

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Study Finds No Association Between Mercury Exposure and Risk of cardiovascular disease

Although research has Shown That eating fish s, which is rich in beneficial omega-3 fatty acids, is associated with lower Risk of cardiovascular diseases, mixed Evidence from prior studies have Suggested That mercury from fish Exposure May Be Linked to Consumption High Risk of cardiovascular diseases. In a new, large-scale study from Harvard School of Public Health (HSPH) and Brigham and Women's Hospital (BWH), researchers found no evidence that higher levels of mercury exposure were associated with higher risk of coronary heart disease, stroke, or total cardiovascular disease in two separate studies of U.S. adults. The study appears in the March 24, 2011, edition of the New England Journal of Medicine. "Prior studies have been relatively small and shown mixed results. This large analysis from two separate studies provides the most robust evidence to date on whether mercury exposure affects cardiovascular disease," said lead author Dariush Mozaffarian, associate professor in the Department of Epidemiology at HSPH and Division of Cardiovascular Medicine, BWH, and Harvard Medical School.
The researchers analyzed data from two studies including 51,529 men in the Health Professionals Follow-up Study (HPFS) and 121,700 women in the BWH-based Nurses' Health Study (NHS). Participants in both groups have answered questions every two years (HPFS beginning in 1986, NHS in 1976) about their medical history, risk factors, disease incidence, and lifestyle.
For this study, the researchers measured mercury concentrations in stored toenail clippings in nearly 7,000 participants who did and did not experience a cardiovascular event during follow-up. Toenail mercury concentrations are an excellent biomarker of long-term mercury exposure. The researchers identified 3,427 new cases of coronary heart disease and stroke and matched them to 3,427 randomly chosen participants free of cardiovascular disease during follow-up.
In the top 20% (highest fifth) of exposure, average toenail mercury levels were 0.7 micrograms per gram (a microgram is one millionth of a gram). (For comparison, current U.S. advisories for sensitive subgroups aim at keeping mercury exposures below an amount corresponding to toenail levels of about 0.4 micrograms per gram.) In the top 10% (highest tenth) of exposure, average toenail mercury levels were 1.0 micrograms per gram. These ranges of mercury exposures are similar to higher mercury exposure levels seen in the U.S.
After adjusting for age, gender, and other cardiovascular disease risk factors, the researchers found no association between mercury exposure and higher risk of cardiovascular disease. Trends toward lower risk with higher mercury levels were actually seen, which the researchers attribute to other beneficial effects of fish consumption. Also, there was no evidence of adverse effects whether participants consumed low or high amounts of fish or had low or high toenail levels of selenium (a trace nutrient that has been proposed to protect against mercury toxicity). Mercury levels were also not associated with higher cardiovascular risk even after adjusting for self-reported fish or omega-3 fatty acid consumption.
"These findings suggest that people need not worry about cardiovascular harm from mercury exposure when deciding whether or not to consume fish," said Mozaffarian. "Public health efforts to reduce mercury in the environment should continue, as mercury exposure can have other harmful effects, for example on neurodevelopment during infancy."
The authors also note that this research should not change advisories for women who are or may become pregnant to avoid eating certain species of fish with higher mercury levels, given the potential for adverse effects of mercury exposure on neurodevelopment in their children.
"Our results strongly support the recently released 2010 U.S. Dietary Guidelines, which conclude that 'health benefits from consuming a variety of seafood in the amounts recommended outweigh the health risks associated with methyl mercury' and that most Americans should 'increase the amount and variety of seafood consumed by choosing seafood in place of some meat and poultry, '"Said senior author Eric Rimm, associate professor in the Departments of Epidemiology and Nutrition at HSPH.

* Source: Harvard School of Public Health

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Acupuncture for pain and no placebo Better Than Not Without harm

Although acupuncture is Commonly used for pain control, STI Doubts about Effectiveness and safety remain. Investigators from the Universities of Exeter & Plymouth (Exeter, UK) and the Korea Institute of Oriental Medicine (Daejeon, South Korea) Critically Evaluated Systematic reviews of acupuncture as a Treatment of pain in order to explore this question. Reporting in the April 2011 issue of PAIN ®, Conclude That They Have Numerous Systematic Reviews Evidence generated little convincing Truly that acupuncture is effective in reducing pain, and serious adverse effects continue to be reported. "Many systematic reviews of acupuncture for pain management are available, yet they only support few indications, and contradictions abound," commented lead investigator Professor Edzard Ernst, MD, PhD, Laing Chair in Complementary Medicine, Peninsula Medical School, Universities of Exeter & Plymouth, UK. "Acupuncture remains associated with serious adverse effects. One might argue that, in view of the popularity of acupuncture, the number of serious adverse effects is minute. We would counter, however, that even one avoidable adverse event is one too many. The key to making progress would be to train all acupuncturists to a high level of competency."
Researchers carefully identified and critically examined systematic reviews of acupuncture studies for pain relief and case reviews reporting adverse effects. Reviews were defined as systematic if they included an explicit Methods section describing the search strategy and inclusion/exclusion criteria. Systematic reviews had to focus on the effectiveness of any type of acupuncture for pain. Of the 266 articles found, 56 were categorized as acceptable systematic reviews.
The authors observe that recent results from high-quality randomized controlled trials have shown that various forms of acupuncture, including so-called "sham acupuncture," during which no needles actually penetrate the skin, are equally effective for chronic low back pain, and more effective than standard care. In these and other studies, the effects were attributed to such factors as therapist conviction, patient enthusiasm or the acupuncturist's communication style.
If even sham acupuncture is as good as or better than standard care, then what is the harm? The answer lies in the adverse effect case studies. These studies were grouped into three categories: Infection (38 cases), trauma (42 cases) and other adverse effects (13 cases). Many of these adverse side effects are not intrinsic to acupuncture, but rather result from malpractice of acupuncturists. The most frequently reported complications included pneumothorax, (penetration of the thorax) and bacterial and viral infections. Five patients died after their treatment.
In an accompanying commentary, Harriet Hall, MD, states her position forcefully: "Importantly, when a treatment is truly effective, studies tend to produce more convincing results as time passes and the weight of evidence accumulates. When a treatment is extensively studied for decades and the evidence continues to be inconsistent, it becomes more and more likely that the treatment is not truly effective. This appears to be the case for acupuncture. In fact, taken as a whole, the published (and scientifically rigorous) evidence leads to the conclusion that acupuncture is no more effective than placebo."

**Source: Elsevier Health Sciences

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Some guidelines to breathe properly to yield more and better

Breathing is an important part to take into account time aerobic exercise. When we exercise our body increases its velocity and therefore oxygen demand is greatest. This is the reason that makes our breathing is accelerated, a process that we manage to get the best results to time to perform at their best and achieve a perfect performance of activities that are taking place. Therefore, in this post we will give some breathing patterns correctly.
On countless occasions we have commented that the energy required for physical activity is obtained from the burning of oxygen. That is why the breath is more important than we think, and they did well will help us optimize our energy to get and hold a lot more when doing any exercise. It is therefore important not to leave to chance the respiratory process, but control at all times for best results.
-Posture
appropriate respiratory
First we must be aware of the process that develops in our bodies when we breathe and having fun. At rest breathing is an automatic act control than at any time and we are not aware, but to make sport things change, since increases thoracic capacity to receive more air. The diaphragm must be opened for more air, and so we can facilitate this action while keeping your abs contracted're doing the activity, and thus forcing the upper chest to open.
to maintain posture during exercise is essential if we optimize the reception of oxygen, as it is important that we maintain high the part of the chest to facilitate the entry of oxygen when you breathe. In addition, this position will also facilitate the removal of carbon dioxide body carbon. It is necessary that we control this at all times and do not acquire services such as bending back in or leave the abdominal area too relaxed, as the reception of oxygen is not as effective.

-Inspiration and expiration
Another point to keep in mind is how we have to get the oxygen , since it is essential to know how we inhale and exhale the oxygen in our body, because in this way, and maintaining the position cited above, we will achieve maximum performance and maximum oxygenation of the body. The process of inspiration is very important because it is when we receive the oxygen street. This process should be done through the nose while exhaling through your mouth will be developed, allowing us to quickly remove air from the body.
This is the ideal situation but we must remember that when physical activity is high and oxygen demand soars oxygen is also necessary to inspire the mouth and the nostrils are not sufficient to receive the stream required. Yet it is always best to breathe through the nose, the mouth does not warm the air and clean it of impurities, run a higher risk of irritating the throat and getting a respiratory infection.
is important to take this into account when doing aerobic exercise, and that breathing is an important step that must be checked at any time and we can not overlook, because it will depend the results that we will get.

** Published in "Vitonica.com"

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A protein that discriminates cellular waste, a key to aging

La proteína lamp2, que es como una antena que determina in a cell what is junk from what is not, is seen as key in cellular aging, as explained to Efe researcher Ana Maria Cuervo, one of the world's leading experts in autophagy, or cell cleaning process.
Cuervo, co-director of the Institute for the Study of Aging at the Albert Einstein College of Medicine in New York (USA), has assisted in Barcelona at an international meeting on cell renewal that has brought together 150 international experts in mitochondrial autophagy, a field of science in less than five years has acquired great importance in the study of cellular aging.
This research has demonstrated the importance of LAMP2 to achieve in his laboratory turn cell cleaning system in the liver of mice, which has achieved 22 months, equivalent to 80 years of an adult, the body behaves as if it had six months to ten years in an adult. Rejuvenation was achieved
repairing LAMP2, a protein in lysosomes, which are cleaning the compartments which will stop the cellular waste. To this end, mice were put back more of this protein, which encodes a gene that is activated when you were 22 months old, which began to see a decrease in the level of LAMP2. Ana Maria Cuervo
remarked that have found that with age the lower levels of this protein and reduce the ability to discriminate what is junk or not, until finally eliminating stops and the cell stops working well.
According to Raven, director of the only research group working in the LAMP2, aging these proteins are reduced to 50%, and could avoid the problems of the age when managed to keep 80%.
are now working on physiological aging to see if this copy of LAMP2 protein than the mice live longer, but at the level of all organs including the brain, which would be very important in pathologies such as Alzheimer's.
To do this, have developed mice that had been introduced at more embryonic a copy of this protein that is activated when they are 12-16 months. The study completed by the end of 2012, and then crossed these mice with others with Alzheimer's to see if there is also a brain rejuvenation.
In the laboratory of Dr. Crow is also studied what diet is most appropriate to preserve this protein because its stability is related to lipids, fatty membrane surrounding the protein, and food is very important.
He recalled that only prolongs the life with a calorie restriction of 60% or eat every two days, but this can not be done in humans, although it has been proven to work.
works because if eat less spend less and have less waste, and we know that cleaning systems are activated when they eat, and that the liver activates the system between lunch and dinner.
also work in the search for drug compounds that have the same effect as eating little and study what types of changes in diets, with less fat and sugar, are better for stabilizing lamps2.
In parallel, they are analyzing the existing pharmacological principles for clinical use to see if they are able to keep young LAMP2, and expect any results before 2012.
If studies confirm the results expected for this protein, in five years could be in the market a compound that works and can be used as a rejuvenator.
There are already a compound, rapamycin, which is used as an immunosuppressant in transplantation, but can not be used in other cases because it affects the immune system.
On the importance of lamps2, Dr. Raven has clarified that the cancer cells to double or triple lamps that the cells around them, and that this cleanup makes them work better and stronger. ** EFE

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UT Southwestern Researchers Find Potential New Treatment for non-insulin type 1 diabetes

Researchers at UT Southwestern Medical Center discovered a hormone pathway Have That Could Potentially Lead to New Ways of treating type 1 diabetes independent of insulin, long Thought to be the sole regulator of carbohydrates in the liver. Results of this new study will be published March 25 in Science. Another hormone, fibroblast growth factor 19 (FGF19), has insulin-like characteristics beyond its role in bile acid synthesis. Unlike insulin, however, FGF19 does not cause excess glucose to turn to fat, suggesting that its activation could lead to new treatments for diabetes or obesity.
"The fundamental discovery is that there is a pathway that exists that is required for the body, after a meal, to store glucose in the liver and drive protein synthesis. That pathway is independent of insulin," said Dr. David Mangelsdorf, chairman of pharmacology at UT Southwestern.
Naturally elevating this pathway, therefore, could lead to new diabetes treatments outside of insulin therapy. The standard treatment for type 1 diabetes, which affects about 1 million people in the U.S., involves taking insulin multiple times a day to metabolize blood sugar.
Dr. Mangelsdorf and Dr. Steven Kliewer, professor of molecular biology and pharmacology at UT Southwestern, are co-senior authors of the study. Dr. Kliewer has been studying the hormone FGF19 since he discovered its involvement in metabolism about eight years ago.
Fibroblast growth factors control nutrient metabolism and are released upon bile acid uptake into the small intestine. Bile acids, produced by the liver, break down fats in the body.
Researchers studied mice lacking FGF15 – the rodent FGF19 hormone equivalent. These mice, after eating, could not properly maintain blood concentrations of glucose and normal amounts of liver glycogen. Glycogen is a form of glucose storage found mainly in liver and muscle tissue. The mice were then injected with FGF19 to evaluate its effects on metabolism in the liver.
FGF19 restored glycogen levels in the mice lacking FGF15. When administered to diabetic mice lacking insulin, FGF19 also corrected the loss of glycogen.
"FGF19 does not make fat, and that's one of the effects that separates it from insulin. Insulin also does not really have a dramatic effect on bile acid synthesis. So, the two pathways are different even though they both function in glycogen and protein synthesis," said Dr. Mangelsdorf, a Howard Hughes Medical Institute investigator at the medical center.
Manipulating FGF19 as an alternative to insulin therapy remains a daunting challenge, however, given some unwelcome side effects. In some studies, he said, activating the hormone in rodents caused the liver to grow and develop cancer.
One promising diabetes treatment route could involve the nuclear bile acid receptor FXR, which Dr. Mangelsdorf said induces expression of FGF19. Modulators of FXR (farnesoid X receptor) have been shown to lower triglycerides and improve cholesterol profiles in preclinical models.

*Source: UT Southwestern Medical Center

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"CBP CAN NOT ADABAS VICAR IN THE LAST PARTY OF LEAGUE REGULAR CBP.VÍCAR

The Vicar Cbp could not stand up for victory in the meet on Saturday afternoon against Adaba. The visitors made a terrible first half in which comfortable shooting situations allowed the locals who scored fluently, with the split of the first two quarters 20-10 and 15-13 respectively. In the second part of the zone defense of visitors allowed to see a more level meeting (22-19) in which the premises had to work to stop the counter from the visiting team that took over six minutes of bonus free throws available . The last quarter was the pride where vicars were able to reduce local income only 4 points with a part of 0-15 led by 18 Linares, FM almost followed with 9 points in these minutes. But the lack of success of the local to the zone defense made him a hit from the line staff (only score from that position would get the last 6 minutes of the fourth. But the visiting players continually failed outside shots and easy baskets in the paint (was the keynote of the whole game) and failed to complete the comeback.

ADABAS Gardenhotel 66: Headlines: 10 Sanchez, J (September 2 Triples), 18 Blades, A (February 16 Triples), 17 Smith, A (11 3 Triples), 5 Domene, A (4), 15 Ortiz, I (8), also participated: 12 Valero, JS (8 1 Triple), 7 Jimenez, JM (-) 8 Brown, JD (-), 9 Gonzalez, A (8), 19 Salvatierra, IA (-), 6 Bueso, A (-) and 16 Carreno, S (2). CBP
VICAR
57: Headlines: 13 Fernandez, A (9), 4 Molina, P (6), 5 Martin, JL (2), 14 Maillo, S (13), 16 Moreno, JA (4). Also participating: 18 Linares, FM (9 1 Triple), 12 Tome, A (-), 9 Carrión, A (4), 15 Carrasco, E (4), 10 Miras, J (-), 17 García, A ( 2) and 7 Rodriguez, F (4 1 Triple). Partial


: 20-10, 15-13, 22-19, 9-15

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